Aging in America

the social sciences ­ biological change as primary, with culture as a thin veneer. But in one short century we have added 30 years to life expectancy. Evolution pales next to this advance. It has been engineered through science, through collectively shared understanding of the spread of disease and collective efforts to improve sanitation, limit the number of offspring and prevent disease in our children. It is not that we are living longer and longer once we are adults. Rather, the vast bulk of this change is due to a dramatic reduction in infant mortality. In 1900, half of all newborn infants died before the age of 5. Today the vast majority of infants born in this country will live out their maximal life spans.

MYTH #1:

The fountain of youth

Human beings are distinguished from other animals in that they anticipate their own death. Throughout recorded history we have searched for that fountain of youth. The search continues today under the label of "life extension." A huge number of people are taking megadoses of vitamins, striving for very low body weight and consuming the services of cosmetic and surgical industries aimed at staving off the aging process. Many more of us share the feeling, just under the surface, that if you work at it hard enough, you can avoid old age, you can stay young. Let me quote Woody Allen: "To Americans, death is an option."

In recent years, as marketers have begun to recognize the demographic changes, they have begun to portray images of old age in which older people are vital and active. Long-held images that showed frail elderly are changing overnight and suggesting that youth can be preserved indefinitely.

There are many positive consequences of this portrayal. There is just one problem: If successful aging is defined as maintaining youth and living long, we all fail. There is no good evidence that life can be extended beyond a fixed limit that we are now approaching. Experimental studies in which selective inbreeding has been used to develop particularly long-lived strains of animals have failed, usually producing instead strains with shorter life expectancies

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